Part-I (General) Name of dealing hand Month No of receipts

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1 Inspection Performa for the Office of District Welfare Officers last inspection and period of inspection : present inspection and period of inspection : Action taken on the last inspection (1) STAFF : Part-I (General) Sr. ed Post of posts 1. DWO 2. TWO 3. Supdt. Gr-II 4. Sr. Astt. 5. Clerks(including TWO offices) 6. Peon 7. Peon daily waged 8. Peon part time Existing strength Vacant (2) ATTENDANCE: Name Is attendance register being maintained properly? Attendance on the day of inspection. (percentage) Details of persons found absent. Weather authorized or unauthorized absence Nature and duration of leave Is casual leave register maintained and is up to date? Is short leave including late arrival accounted for in this register? (3) RECEIPTS : Are the register of important/ immediate cases Being maintained properly Up to date Are assistant diaries maintained by every dealing hand in proper form Up to date (to be test checked) Properly maintained and entry regarding final deposal of receipts made (to be test checked) Intake of receipts of last three months Name of dealing hand Month No of receipts Are dispatch register and Peon book properly maintained? Is service stamp register properly maintained and update?

2 (4) ARREARS REPORTS : Are these maintained in the form prescribed Being submitting to officers on the first working day of every week? if not, reasons thereof What is the state of arrears on the day of inspection? Reasons for heavy arrears, if any Step taken to clear the arrears. (5) RETURNS/STATEMENS : Is chart available in the office indicating returns/statements to be received Is similar chart available in respect of returns/statements to be submitted by the office? Does the sample check disclosed that the returns have been received or sent on due dates? (6) OPENING OF FILES AND RECORD: Is file opening register maintained properly. Are files being opened under appropriate standard heads? (7) STANDING GUARD FILES/ REFERENCE BOOK /ACT AND RULES : Whether guard files being maintained Are all necessary reference book available Whether copies of act /rules administrated by the department are maintained update with amendment please specify act/rules. Assembly question register not maintained. Telephone register not been maintained. (8) ACCOUNTS AND FINICIAL PROCEDURE : (a) Details of test checks done :- (vi) (vii) Budget Control register Pay bills register TA/ LTC check register Medical claim register Have the procedure of financial orders and sanction being followed Are copies of ordered sent to the audit office Pendency with regard to (a) Audit Paras = (b) CAG report = (c) PAC Paras = (d) Estimate committee Paras = (e) Vidhan Sabha standing committee = (b) Maintenance of Cash book :- Daily closing of Cash book being ensured Details of closing balances (scheme wise detail with date of drawl be enclosed on separate sheet) Whether monthly Reconciliation with treasury being done Whether monthly Bank reconciliation being done Verification of cash balances

3 (9) ESTABLISHMENT MATTER : Please test check :- Entries in service book being updated. Increments have been granted to all employees in time. ACRs of staff written upto year and submitted. (10) RECORD MANAGEMENT: when Is records being regularly eliminated/weeded out at regular intervals was last weeding done. Number of records (a) Consigned (b) Weeded out two years may be specify (11) COURT CASES : Any matter pending in court. Stage of the case. (12) COMPUTERIZATION : Computer hardware available in office How well it is being used Software package available How many official use computer Is maintenance act in force (13) STOCK STORE : Whether physical verification of stock and store conducted (indicate date of verification and results) Disposal of surplus and unserviceable store (item wise detail with amount). Whether coral formalities as per financial rules being completed (test check of purchases). Has the procedure of safe custody of store being followed. Has the procedure of receipt and issue of store been followed. Part-II IMPLEMENTATION OF WELFARE SCHEMES : (A) Social Security Pension Scheme: The category wise target. of pensions for the districts:- IGNOAPS = Old Age Pension = Disability Relief Allowance = Widow Pension = Reh. allowance to leper = = Status of of pensions (last quarter) quarter on the prescribed

4 quarterly format. Status of of pensions on the date inspection on the quarterly prescribed format. Status of substitution of expired/ ineligible cases and whether it is being generated through computer. Test check the ledger entries (vi) Whether money order return register is being maintained on the prescribed Form-4 of Social Security Pension rules (vii) Whether acknowledgement of money orders are being maintained in a systematic way. A model system for the maintenance of receipts were explained and asked to get the same executed w.e.f (viii) Status of Pendency of application at the time inspection. (ix) Whether waiting list have been maintained in the computer. (x) Number of ineligible pensioner identified (tehsil wise) and current. (xi) Status of identification of new beneficiary under IGNOAPS /State OAPS (xii) Status of implementation of e- kalyan software. (xiii) Status of remedial steps taken on the CAG report. (2) Field Inspections Conducted (B) SCs/STs/OBCs Sector Schemes Follow up Programmes:- Status of tools/ sewing machines yet to be distributed to the cases (tehsilwise ): Sr. Name of Tehsil : Field Inspections Conducted

5 Housing Subsidy:- (a)status of pending application at the time of inspection. (b)status of cases three years. Year cases in the district of cases in which first installment has been released to the beneficiaries No of cases in which second installment has been released to the beneficiaries No of cases in which no installment has been released to the beneficiaries (c) Number of cases in which utilization period has been expired. (d) Action taken to extend utilization period in such cases (e) Number of cases in which recovery process has been initiated Field Inspections Conducted Improvement of Harijan Bastis:- (a)status of pending cases at the time of inspection. (b)status of cases three years. Year cases in the district of cases in which first installment has been released to the beneficiaries No of cases in which second installment has been released to the beneficiaries No of cases in which no installment has been released to the beneficiaries (c) Number of cases in which utilization period has been expired. (d) Action taken to extend utilization period in such cases (e) Number of cases in which recovery process has been initiated against the defaulter. Field Inspections Conducted

6 Training and Proficiency in computer applications:- No of Candidates selected (courses wise) Category Name of course Scheduled Castes Scheduled Tribes Other backward classes Minorities Training centre inspected (a) Name of institute where training course is being conducted (b) Number of trainees present in the institute at the time of inspection (c) Status of infrastructure /faculty available in the training institute. (d) Comments on the quality of the training being provided. Comments,if any:- (vi) Implementation of SCs/STs(POA )Act 1989/ Rules 1995 (a) Whether quarterly meetings of District level Vigilance and Monitoring Committee have been convened (b) Status of registration of cases at the time of inspection and sanction/ of relief to the victims of atrocities of pending cases of last year Police Court of last year cases in which relief has not been provided of cases registered during the current calendar year Cases Under investigation with police of cases put in court of cases to whom relief has been provided of cases in which relief has not been provided Reasons for not providing relief (vii) Implementation of PCR Act 1995 amount received amount of camps for organizing camps amount utilized and status of utilization certificates amount received during the current for organizing camps Number of camps organized till the date of inspection (viii) Award for inter caste marriage

7 Number of cases Number of cases during the current during current financial year (5) Disability Sector Scheme. (6) Women Sector Scheme. (1) Mukhya Mantri Kanya dan Yojna Number of cases Number of cases during the current during current financial year (2) Mother Tressa Matri Sambal Yojna. Disbursement of assistance during the year beneficiaries Sr. amount deposited in saving Saving Account opened for these cases Balance if Children Mothers A/C any Bank Post Office Pending if any

8 Identification of new beneficiaries in the District during Panchayats in the district of panchayats who have identified of panchayats who benificiaried have not during the identified any year beneficiary new beneficiary identified Children Mothers Children of new beneficiary assistance during the year. Mothers. Coverage of scheme in the District during Beneficiary covered Beneficiary deleted New Beneficiary idenfied Beneficiary during during during as on Children Mothers Children Mothers Children Mothers Children Mothers. Disbursement of assistance during beneficiaries Sr. amount deposited in saving Saving Account opened for these cases Balance if Children Mothers A/C any Bank Post Office Pending if any (3) Self Employment to Women: Number of cases Number of cases during the current during current financial year (4) Children Sector Scheme (a) NGO wise number of Balwari centres in the district Inspection of Balwari centre (b) NGO wise number of creches in the district. Inspection of Creche Part-III SCP Sector: Part-IV Summing up Signature of Inspecting Officer.

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